Coding and CDI Tips
Sharing knowledge, experience, innovations and best practices to help organizations keep pace in the ever-changing healthcare industry
Coding and CDI Tips
CDI Tips: Dementia
Dementia: Will we need more queries? The short answer is yes! We need documentation of none, other, or a specified type of mood disorder. But here is the long answer: “Dementia The ICD-10-CM classifies dementia (categories F01, F02, and F03) on the basis of the...
Coding Tips: Hypercholesterolemia and Hyperlipidemia
Providers often use the terms hyperlipidemia and hypercholesterolemia interchangeably. Technically, hyperlipidemia is a high or elevated lipid/fat level in the blood. High blood cholesterol is a lipid disorder. As a result, when hyperlipidemia and hypercholesterolemia...
Coding Tips: Light Meconium-stained Fluid
Meconium gives the amniotic fluid a greenish color. This is called meconium staining. Coding Clinic, Second Quarter 2022 clarifies ‘light meconium-stained fluid’ and how to code it. The presence of any meconium staining may indicate fetal distress, therefore code...
Coding Tips: The Eliquis Coding Conundrum
Eliquis can be used as an anticoagulant or an antithrombotic. When a patient is on Eliquis long-term, it can be a coding conundrum. As published in Coding Clinic, Second Quarter 2022, ICD-10-CM classifies Eliquis as an anticoagulant medication. Therefore, if...
Coding Tips: Metabolic Bone Disease (MBD)
This condition is commonly documented along with chronic kidney disease (CKD). MBD is a broad term used to describe a group of bone disorders of bone strength usually caused by mineral abnormalities such as calcium, phosphorus, vitamin D, or magnesium. As published in...
Coding Tips: Lupus
When Lupus (unspecified) is documented in a record, there is no default code. Therefore, it is important to have providers document this condition as precisely as possible. For instance, document SLE (systemic lupus erythematosus) instead and add any complications...